This study also depicted an arguable approach to dengue surveillance as well as described existing efforts to prevent, control and eradicate dengue (Aedes aegypti) with the aim of detailing potential problems that must be addressed to prevent further dengue fever outbreaks.

Virologic surveillance should be consider the most important element in any such early warning system. Dengue virus transmission should be monitored to determine which serotypes are present, their distribution, and the type of illnesses associated with each. Effective dengue surveillance can provide an early warning capability permitting emergency mosquito control measures to be implemented and major epidemics to be averted following a hurricane.

A surveillance system must be simple, yet comprehensive, in its structure and in its operation and flexible enough to allow the incorporation of new data. Dengue prevention and control programs must be in line with more effective surveillance as an early warning system that can predict epidemic dengue, and combining this with mosquito control measures - including community-based measures - to reduce Aedes aegypti densities.

An effective dengue surveillance system must address the disease from both a clinical and an entomological perspective as well as consider the virologic, epidemiologic, and serologic aspects that are useful in an active surveillance system.